Ethel Higginbotham
Symptoms/subjective data:
- No appetite
- Confusion
- Withdrawn
- Productive cough
- Small open lesions on lower legs
- "I just want to die"
Medical Diagnoses - Pneumonia - Fluid in the lungs
- Was receiving oxygen
80 yrs old
- At risk for falls
Collection/objective data: Thin, Weak, refuses to eat, sleeps most of the time
- At risk for infection
- Fatigue
- Frail elderly syndrome
- Grieving
- Less than body requirements - imbalanced nutrition
- Risk for loneliness, social isolation
- Disturbed sleep pattern
- Death anxiety
Planning
- Patient will drink 1 protein shake per day for the next month
- Patient will gain 1% of her body weight over 1 week
- Patient will meet with a grief counselor after 1 month of nutrition help
- Patient will attempt to eat 75% of her meals for the next 2 months
Intervention
- Nurse will conduct vital signs - Nurse will check why pt went off oxygen - Nurse will work with nutritionist to create a meal plan
- Risk for pressure ulcer